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Individual

STANLEY D BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EDS, THM

Contact information

Practice address
11170 SW 110TH AVE, DUNNELLON, FL 34432-5532
(407) 504-7826
(407) 504-7826
Mailing address
11170 SW 110TH AVE, DUNNELLON, FL 34432-5532
(407) 504-7826

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/28/2017
Last updated
06/28/2017
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